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Emergency Bedside Extracorporeal Membrane Oxygenation for Rescue of Acute Tracheal Obstruction

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Abstract:

A 39-year-old man experienced total obstruction of a distal tracheal plastic stent by a tumor mass, preventing effective ventilation and resulting in cardiac arrest. Resuscitation by emergency bedside venoarterial extracorporeal membrane oxygenation (ECMO) permitted time to physically remove the obstructing tumor and reestablish successful ventilation and liberation from ventilatory support. We review several other reported cases of emergency ECMO to resuscitate patients with acute airway obstruction.

Keywords: ECMO; airway obstruction; cardiac arrest; extracorporeal membrane oxygenation; mechanical ventilation; tracheal stent

Document Type: Research Article

DOI: http://dx.doi.org/10.4187/respcare.01417

Affiliations: Department of Critical Care, Sharp Memorial Hospital, San Diego CA 92123, USA

Publication date: April 1, 2012

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